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Publication Name World Journal of Gastroenterology
Manuscript ID 115790
Country South Korea
Received
2025-10-31 13:38
Peer-Review Started
2025-10-31 13:39
First Decision by Editorial Office Director
2025-11-19 11:01
Return for Revision
2025-11-19 11:01
Revised
2025-12-02 04:34
Publication Fee Transferred
Second Decision by Editor
2026-01-29 02:33
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-01-29 07:07
Articles in Press
2026-01-29 07:07
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-03-24 00:41
Publish the Manuscript Online
2026-04-03 06:41
ISSN 1007-9327 (print) and 2219-2840 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Copyright © The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Gastroenterology & Hepatology
Manuscript Type Retrospective Cohort Study
Article Title Optimal strategies for mitigating gastrointestinal bleeding in patients receiving antiplatelet therapy: Real-world study
Manuscript Source Unsolicited Manuscript
All Author List Minjee Kim, Sang Ah Chi, Ji Eun Kim, Eun Ran Kim, Sung Noh Hong, Young-Ho Kim, Kyunga Kim and Dong Kyung Chang
ORCID
Author(s) ORCID Number
Minjee Kim http://orcid.org/0000-0003-0838-841X
Ji Eun Kim http://orcid.org/0000-0003-2149-7979
Eun Ran Kim http://orcid.org/0000-0002-0495-2565
Sung Noh Hong http://orcid.org/0000-0002-4140-3717
Young-Ho Kim http://orcid.org/0000-0003-2760-9556
Kyunga Kim http://orcid.org/0000-0002-0865-2236
Dong Kyung Chang http://orcid.org/0000-0001-8925-4629
Funding Agency and Grant Number
Corresponding Author Dong Kyung Chang, Professor, Department of Medicine, Samsung Medical Center, 81 Irwon-ro, Gangnam-gu, Seoul 06351, South Korea. do.chang@samsung.com
Key Words Gastrointestinal bleeding; Aspirin; Clopidogrel; Proton pump inhibitor; Rebamipide; Antiplatelet therapy; High risk; Low risk; Protective agents; Real-world study
Core Tip Aspirin and clopidogrel increase the risk of gastrointestinal bleeding; however, the comparative effectiveness of these mucosal protective agents remains unclear. In a large real-world cohort, we found that proton pump inhibitor monotherapy provided substantial protection, whereas combination therapy with rebamipide offered the greatest risk reduction, particularly in high-risk patients. No significant benefit was observed in clopidogrel-alone users or low-risk populations. These findings support a personalized, risk-stratified approach to gastroprotection, and suggest that combination mucosal protective strategies may provide incremental benefits beyond standard regimens.
Publish Date 2026-04-03 06:41
Citation

Kim M, Chi SA, Kim JE, Kim ER, Hong SN, Kim YH, Kim K, Chang DK. Optimal strategies for mitigating gastrointestinal bleeding in patients receiving antiplatelet therapy: Real-world study. World J Gastroenterol 2026; 32(14): 115790

URL https://www.wjgnet.com/1007-9327/full/v32/i14/115790.htm
DOI https://dx.doi.org/10.3748/wjg.v32.i14.115790
Full Article (PDF) WJG-32-115790-with-cover.pdf
STROBE Statement 115790-STROBE-statement.pdf
Manuscript File 115790_Auto_Edited_070855.docx
Answering Reviewers 115790-answering-reviewers.pdf
Audio Core Tip 115790-audio.mp3
Biostatistics Review Certificate 115790-biostatistics-statement.pdf
Conflict-of-Interest Disclosure Form 115790-conflict-of-interest-statement.pdf
Copyright License Agreement 115790-copyright-assignment.pdf
Signed Informed Consent Form(s) or Document(s) 115790-informed-consent-statement.pdf
Institutional Review Board Approval Form or Document 115790-institutional-review-board-statement.pdf
Non-Native Speakers of English Editing Certificate 115790-non-native-speakers.pdf
Supplementary Material 115790-supplementary-material.pdf
Peer-review Report 115790-peer-reviews.pdf
Scientific Misconduct Check 115790-scientific-misconduct-check.png
Scientific Editor Work List 115790-scientific-editor-work-list.pdf
CrossCheck Report 115790-crosscheck-report.pdf